Does Mercy Medical Center Redding have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Mercy Medical Center Redding. In a medical emergency, call 911.

Where is Mercy Medical Center Redding?

2175 Rosaline Ave, Clairmont HGTS, Redding, CA 96001, in Shasta County, California.

What is the phone number of Mercy Medical Center Redding?

(530) 225-6102, as listed by Medicare (CMS).

What is the Medicare star rating of Mercy Medical Center Redding?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Mercy Medical Center Redding for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Mercy Medical Center Redding under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.0672; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Mercy Medical Center Redding — Phone, Address & ER

Quick answers

Does Mercy Medical Center Redding have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Mercy Medical Center Redding. In a medical emergency, call 911.
Where is Mercy Medical Center Redding?: 2175 Rosaline Ave, Clairmont HGTS, Redding, CA 96001, in Shasta County, California.
What is the phone number of Mercy Medical Center Redding?: (530) 225-6102, as listed by Medicare (CMS).
What is the Medicare star rating of Mercy Medical Center Redding?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Mercy Medical Center Redding for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Mercy Medical Center Redding under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.0672; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[4][5]

Neurology
Heart care
Obstetrics and gynecology
Cancer care
Emergency medicine
Wound care
Imaging
Rehabilitation therapy
General surgery
Family Birth Center
Cardiology (Heart Care)
Laboratory Services

Conditions treated^[4][5]

Stroke and TIA
Diabetes
Vascular disease
Chronic non-healing wounds and ulcers
Breast cancer
Lung cancer
Transient ischemic attack (TIA)

Treatments^[4][5]

Chemotherapy (including intravesical)
Blood and platelet transfusions
Hydration therapy
Blood transfusions
Bladder instillation

Procedures^[4]

Programs and centers^[4][5]

Pulmonary rehabilitation
Breast cancer early detection
Lung cancer screening
Smoking cessation
Level III NICU
Healthier living program (chronic disease management)

Emergency care (hospital website)^[4][5]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level II

Visiting and practical information

Visiting	Daily 8 a.m.-7 p.m.; up to two visitors per patient; check in at lobby^[4]
Interpreters and languages	Language and interpretation services offered^[4]
Patient portal	My Portal by Dignity Health

Doctors and clinicians (489)

489 doctors and other clinicians list Mercy Medical Center Redding as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 465 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Shasta Regional Medical Center1.0 mi · Redding, CA · Acute Care Hospital
Trinity Hospital31 mi · Weaverville, CA · Critical Access Hospital
St Elizabeth Community Hospital31 mi · Red Bluff, CA · Acute Care Hospital
Mercy Medical Center of Mt Shasta52 mi · Mount Shasta, CA · Critical Access Hospital
Mayers Memorial Hospital60 mi · Fall River Mills, CA · Critical Access Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Redding

Vibra Hospital of Northern California1.3 mi · Redding, CA · Long-Term Acute Care Hospital

All hospitals in Redding · Hospitals in Shasta County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

River Valley Healthcare & Wellness Centre, LP0.3 mi · Redding, CA · 4 of 5 stars
Redding Post Acute0.5 mi · Redding, CA · 4 of 5 stars
Vibra Hospital of Northern California D/P SNF1.2 mi · Redding, CA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Interim Healthcare Hospice3.1 mi · Redding, CA
Mercy Hospice3.1 mi · Redding, CA · 5 of 5 stars
Bristol Hospice - Redding5.1 mi · Redding, CA · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Assured Home Health3.1 mi · Redding, CA · 2.5 of 5 stars
Mercy Home Care3.1 mi · Redding, CA · 4 of 5 stars
Mission Home Health of Redding3.1 mi · Redding, CA · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Redding Dialysis Center3.1 mi · Redding, CA · 3 of 5 stars
DCI Redding7.7 mi · Redding, CA · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Apogee Surgery Center3.1 mi · Redding, CA
Court Street Surgery Center3.1 mi · Redding, CA
Redding Endoscopy Center3.1 mi · Redding, CA

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Greenville Rancheria Medical Center0.2 mi · Redding, CA · Community health center
Good News Rescue Mission - SCHC Clinic0.5 mi · Redding, CA · Community health center
Gold Street Medical0.6 mi · Redding, CA · Community health center

Clinics and urgent care

Generations Urgent Care5.1 mi · Redding, CA · Urgent care center
Prestige Urgent Care, LLC5.1 mi · Redding, CA · Urgent care center
Dignity Health Lassen Medical Clinic - Cottonwood17 mi · Cottonwood, CA · Rural health clinic

Pharmacies

Garfield Beach CVS LLC3.1 mi · Redding, CA · Pharmacy
Garfield Beach CVS, L.L.C.3.1 mi · Redding, CA · Community/retail pharmacy
Lien Family Pharmacy Corporation3.1 mi · Redding, CA · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state license list, by straight-line distance.

Hallmark North3.1 mi · Redding, CA
Redbud Care Home3.1 mi · Redding, CA
Serenity Gardens3.1 mi · Redding, CA
Sunset Comfort Care Inc.3.1 mi · Redding, CA

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Mercy Medical Center Redding reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Patients got help quickly from staff	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Restfulness of Environment	1 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	3 of 5 stars
Rated the hospital 9 or 10 out of 10	66%National average: 72%
Would definitely recommend the hospital	74%National average: 71%
Nurses “always” communicated well	78%National average: 80%
Doctors “always” communicated well	75%National average: 80%
“Always” got help as soon as they wanted	61%National average: 64%
Staff “always” explained medicines before giving them	61%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	67%National average: 73%
Completed surveys	505Response rate: 20%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	0.249No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.427No different from the national benchmark
Surgical site infections after colon surgery	1.102No different from the national benchmark
MRSA bloodstream infections	0.671No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.508Better than the national benchmark
Not reported to Medicare	Surgical site infections after abdominal hysterectomy

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	12.4%
Deaths within 30 days: heart failure patients	12.4%
Deaths within 30 days: pneumonia patients	16.3%
Deaths within 30 days: COPD patients	9.4%
Deaths within 30 days: stroke patients	11.9%
Deaths within 30 days: coronary bypass surgery (CABG)	3%
Serious complications (patient safety indicator PSI-90)	1.1No different from the national rate
Complications after hip or knee replacement	5.3%

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	15%
Readmitted within 30 days: heart attack	12.8%
Readmitted within 30 days: heart failure	21.5%
Readmitted within 30 days: pneumonia	17.2%
Readmitted within 30 days: COPD	19%
Readmitted within 30 days: coronary bypass surgery	13.2%
Readmitted within 30 days: hip or knee replacement	5.9%

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	194 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	68%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Mercy Medical Center Redding, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	-0.0672Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack	0.9350Fewer readmissions than expected
Heart failure	0.9694Fewer readmissions than expected
Pneumonia	0.9850Fewer readmissions than expected
COPD (chronic lung disease)	0.9612Fewer readmissions than expected
Hip or knee replacement	1.0354More readmissions than expected
Coronary bypass surgery (CABG)	1.2447More readmissions than expected

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score	24.25 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	30.00 out of 100
Person and community engagement (patient survey)	17.00 out of 100
Safety (infections and sepsis care)	50.00 out of 100
Efficiency and cost reduction (Medicare spending)	0.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio	1.03Above the national median hospital (1.00): Medicare spent more

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Redding Best hospitals in California

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 66 common services exactly as Mercy Medical Center Redding lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

$ 1 amount is marked with “!”: it is more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. It is shown exactly as listed; ask the hospital before relying on it.

Show the prices of 66 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: VISIT LOW 30MN NW PT	$819	$411.52	$128 – $819
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $819 BCBS - Anthem — Commercial\|Exchange: $671.58 BCBS - Anthem — Medicaid\|All Plans: $149.33 Blue Shield CA — Commercial\|All Other Plans: $185 Blue Shield CA — Commercial\|Exchange: $128 California Health & Wellness — Medicaid\|All Plans: $210.93 Cigna — Commercial\|All Other Plans: $647.01 Cigna — Commercial\|PPO: $647.01 Coventry — Commercial\|All Plans: $737.10 Health Net — Commercial\|All Plans: $819
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: VISIT LOW 30MN NW PT	$819	$411.52	$737.10 – $819
New patient office visit (about 30–44 minutes): rates for 3 insurance plans Coventry — Commercial\|All Plans: $737.10 Health Net — Commercial\|All Plans: $819 MultiPlan — Commercial\|All Plans: $802.62
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: FETAL DEMISE <23WK NEW PT	$2,246	$1,128.52	$128 – $21,083
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $179.87 Blue Shield CA — Commercial\|All Other Plans: $185 Blue Shield CA — Commercial\|Exchange: $128 California Health & Wellness — Medicaid\|All Plans: $254.07 Cigna — Commercial\|All Other Plans: $1,774.34 Cigna — Commercial\|PPO: $1,774.34 Coventry — Commercial\|All Plans: $2,021.40 Health Net — Commercial\|All Plans: $2,246 MultiPlan — Commercial\|All Plans: $2,201.08 Partnership Health Plan — Medicaid\|All Plans: $543.75
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: VISIT MDT 45MN NW PT	$986	$495.43	$128 – $986
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $986 BCBS - Anthem — Commercial\|Exchange: $808.52 BCBS - Anthem — Medicaid\|All Plans: $179.87 Blue Shield CA — Commercial\|All Other Plans: $185 Blue Shield CA — Commercial\|Exchange: $128 California Health & Wellness — Medicaid\|All Plans: $254.07 Cigna — Commercial\|All Other Plans: $778.94 Cigna — Commercial\|PPO: $778.94 Coventry — Commercial\|All Plans: $887.40 Health Net — Commercial\|All Plans: $986
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: VISIT MDT 45MN NW PT PO	$671	$337.15	$128 – $671
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $671 BCBS - Anthem — Commercial\|Exchange: $550.22 BCBS - Anthem — Medicaid\|All Plans: $179.87 Blue Shield CA — Commercial\|All Other Plans: $185 Blue Shield CA — Commercial\|Exchange: $128 California Health & Wellness — Medicaid\|All Plans: $254.07 Cigna — Commercial\|All Other Plans: $530.09 Cigna — Commercial\|PPO: $530.09 Coventry — Commercial\|All Plans: $603.90 Health Net — Commercial\|All Plans: $671
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: VISIT HIGH 60MN NW PT	$1,312	$659.23	$128 – $1,312
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $1,312 BCBS - Anthem — Commercial\|Exchange: $1,075.84 BCBS - Anthem — Medicaid\|All Plans: $215.89 Blue Shield CA — Commercial\|All Other Plans: $185 Blue Shield CA — Commercial\|Exchange: $128 California Health & Wellness — Medicaid\|All Plans: $304.97 Cigna — Commercial\|All Other Plans: $1,036.48 Cigna — Commercial\|PPO: $1,036.48 Coventry — Commercial\|All Plans: $1,180.80 Health Net — Commercial\|All Plans: $1,312
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: VISIT HIGH 60MN NW PT	$1,312	$659.23	$1,180.80 – $1,312
New patient office visit (about 60–74 minutes): rates for 3 insurance plans Coventry — Commercial\|All Plans: $1,180.80 Health Net — Commercial\|All Plans: $1,312 MultiPlan — Commercial\|All Plans: $1,285.76
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: VISIT LOW 20MN EST PT	$550	$276.36	$62.66 – $550
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $550 BCBS - Anthem — Commercial\|Exchange: $451 BCBS - Anthem — Medicaid\|All Plans: $62.66 Blue Shield CA — Commercial\|All Other Plans: $185 Blue Shield CA — Commercial\|Exchange: $128 California Health & Wellness — Medicaid\|All Plans: $88.51 Cigna — Commercial\|All Other Plans: $434.50 Cigna — Commercial\|PPO: $434.50 Coventry — Commercial\|All Plans: $495 Health Net — Commercial\|All Plans: $550
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: VISIT LOW 20MN EST PT	$550	$276.36	$495 – $550
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans Coventry — Commercial\|All Plans: $495 Health Net — Commercial\|All Plans: $550 MultiPlan — Commercial\|All Plans: $539
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: FETAL DEMISE <23WK EST PT	$2,246	$1,128.52	$97.90 – $21,083 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates BCBS - Anthem — Medicaid\|All Plans: $97.90 Blue Shield CA — Commercial\|All Other Plans: $185 Blue Shield CA — Commercial\|Exchange: $128 California Health & Wellness — Medicaid\|All Plans: $138.30 Cigna — Commercial\|All Other Plans: $1,774.34 Cigna — Commercial\|PPO: $1,774.34 Coventry — Commercial\|All Plans: $2,021.40 Health Net — Commercial\|All Plans: $2,246 MultiPlan — Commercial\|All Plans: $2,201.08 Partnership Health Plan — Medicaid\|All Plans: $295.99
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: VISIT MDT 30MN EST PT	$573	$287.91	$97.90 – $573
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $573 BCBS - Anthem — Commercial\|Exchange: $469.86 BCBS - Anthem — Medicaid\|All Plans: $97.90 Blue Shield CA — Commercial\|All Other Plans: $185 Blue Shield CA — Commercial\|Exchange: $128 California Health & Wellness — Medicaid\|All Plans: $138.30 Cigna — Commercial\|All Other Plans: $452.67 Cigna — Commercial\|PPO: $452.67 Coventry — Commercial\|All Plans: $515.70 Health Net — Commercial\|All Plans: $573
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: FETAL DEMISE <23WK EST PT	$2,246	$1,128.52	$2,021.40 – $2,246
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans Coventry — Commercial\|All Plans: $2,021.40 Health Net — Commercial\|All Plans: $2,246 MultiPlan — Commercial\|All Plans: $2,201.08
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER LEVEL 3	$3,813	$1,915.87	$116.43 – $12,267
Emergency room visit (moderate): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $2,249.67 Aetna — Commercial\|HMO: $2,249.67 Aetna — Commercial\|PPO: $2,249.67 Aetna — Medicare\|All Plans: $351.09 BCBS - Anthem — Commercial\|All Other Plans: $3,475 BCBS - Anthem — Commercial\|Exchange: $2,850 BCBS - Anthem — Medicaid\|All Plans: $116.43 BCBS - Anthem — Medicare\|All Plans: $351.09 Blue Shield CA — Commercial\|All Other Plans: $2,974.14 Blue Shield CA — Commercial\|Exchange: $2,402.19
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: ER LEVEL 3	$3,813	$1,915.87	$3,431.70 – $3,813
Emergency room visit (moderate): rates for 3 insurance plans Coventry — Commercial\|All Plans: $3,431.70 Health Net — Commercial\|All Plans: $3,813 MultiPlan — Commercial\|All Plans: $3,736.74
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER LEVEL 4	$5,901	$2,964.99	$178.43 – $12,267
Emergency room visit (moderately high): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $3,481.59 Aetna — Commercial\|HMO: $3,481.59 Aetna — Commercial\|PPO: $3,481.59 Aetna — Medicare\|All Plans: $536.67 BCBS - Anthem — Commercial\|All Other Plans: $6,951 BCBS - Anthem — Commercial\|Exchange: $5,700 BCBS - Anthem — Medicaid\|All Plans: $178.43 BCBS - Anthem — Medicare\|All Plans: $536.67 Blue Shield CA — Commercial\|All Other Plans: $4,602.78 Blue Shield CA — Commercial\|Exchange: $3,717.63
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: TRAUMA LIMITED	$23,966	$12,041.84	$178.43 – $23,966
Emergency room visit (moderately high): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $14,139.94 Aetna — Commercial\|HMO: $14,139.94 Aetna — Commercial\|PPO: $14,139.94 Aetna — Medicare\|All Plans: $536.67 BCBS - Anthem — Commercial\|All Other Plans: $6,951 BCBS - Anthem — Commercial\|Exchange: $5,700 BCBS - Anthem — Medicaid\|All Plans: $178.43 BCBS - Anthem — Medicare\|All Plans: $536.67 Blue Shield CA — Commercial\|All Other Plans: $18,693.48 Blue Shield CA — Commercial\|Exchange: $15,098.58
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: ER LEVEL 4	$5,901	$2,964.99	$5,310.90 – $5,901
Emergency room visit (moderately high): rates for 3 insurance plans Coventry — Commercial\|All Plans: $5,310.90 Health Net — Commercial\|All Plans: $5,901 MultiPlan — Commercial\|All Plans: $5,782.98
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER LEVEL 5	$9,078	$4,561.29	$282.15 – $12,267
Emergency room visit (high): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $5,356.02 Aetna — Commercial\|HMO: $5,356.02 Aetna — Commercial\|PPO: $5,356.02 Aetna — Medicare\|All Plans: $765.95 BCBS - Anthem — Commercial\|All Other Plans: $9,038 BCBS - Anthem — Commercial\|Exchange: $7,411 BCBS - Anthem — Medicaid\|All Plans: $282.15 BCBS - Anthem — Medicare\|All Plans: $765.95 Blue Shield CA — Commercial\|All Other Plans: $7,080.84 Blue Shield CA — Commercial\|Exchange: $5,719.14
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: TRAUMA ESSENTIAL	$63,545	$31,928.51	$282.15 – $63,545
Emergency room visit (high): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $37,491.55 Aetna — Commercial\|HMO: $37,491.55 Aetna — Commercial\|PPO: $37,491.55 Aetna — Medicare\|All Plans: $765.95 BCBS - Anthem — Commercial\|All Other Plans: $9,038 BCBS - Anthem — Commercial\|Exchange: $7,411 BCBS - Anthem — Medicaid\|All Plans: $282.15 BCBS - Anthem — Medicare\|All Plans: $765.95 Blue Shield CA — Commercial\|All Other Plans: $49,565.10 Blue Shield CA — Commercial\|Exchange: $40,033.35
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: ER LEVEL 5	$9,078	$4,561.29	$8,170.20 – $9,078
Emergency room visit (high): rates for 3 insurance plans Coventry — Commercial\|All Plans: $8,170.20 Health Net — Commercial\|All Plans: $9,078 MultiPlan — Commercial\|All Plans: $8,896.44

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL	$62	$31.16	$7.27 – $62
Basic metabolic panel (blood test): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $50.10 Aetna — Commercial\|HMO: $50.10 Aetna — Commercial\|PPO: $50.10 Aetna — Medicare\|All Plans: $8.46 BCBS - Anthem — Commercial\|All Other Plans: $58.90 BCBS - Anthem — Commercial\|Exchange: $48.36 BCBS - Anthem — Medicaid\|All Plans: $20.15 BCBS - Anthem — Medicare\|All Plans: $8.46 Blue Shield CA — Commercial\|All Other Plans: $33.48 Blue Shield CA — Commercial\|Exchange: $26.04
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: RL-A-BMP SP 20399	$8.54	$4.30	$3.59 – $8.54
Basic metabolic panel (blood test): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $8.54 Aetna — Commercial\|HMO: $8.54 Aetna — Commercial\|PPO: $8.54 Aetna — Medicare\|All Plans: $8.46 BCBS - Anthem — Commercial\|All Other Plans: $8.12 BCBS - Anthem — Commercial\|Exchange: $6.67 BCBS - Anthem — Medicaid\|All Plans: $8.54 BCBS - Anthem — Medicare\|All Plans: $8.46 Blue Shield CA — Commercial\|All Other Plans: $4.62 Blue Shield CA — Commercial\|Exchange: $3.59
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: RL-SR-BASIC METAB PANEL	$8.46	$4.26	$3.56 – $8.46
Basic metabolic panel (blood test): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $8.46 Aetna — Commercial\|HMO: $8.46 Aetna — Commercial\|PPO: $8.46 Aetna — Medicare\|All Plans: $8.46 BCBS - Anthem — Commercial\|All Other Plans: $8.04 BCBS - Anthem — Commercial\|Exchange: $6.60 BCBS - Anthem — Medicaid\|All Plans: $8.46 BCBS - Anthem — Medicare\|All Plans: $8.46 Blue Shield CA — Commercial\|All Other Plans: $4.57 Blue Shield CA — Commercial\|Exchange: $3.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$87	$43.72	$9.19 – $87
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $62.51 Aetna — Commercial\|HMO: $62.51 Aetna — Commercial\|PPO: $62.51 Aetna — Medicare\|All Plans: $10.56 BCBS - Anthem — Commercial\|All Other Plans: $82.65 BCBS - Anthem — Commercial\|Exchange: $67.86 BCBS - Anthem — Medicaid\|All Plans: $25.44 BCBS - Anthem — Medicare\|All Plans: $10.56 Blue Shield CA — Commercial\|All Other Plans: $46.98 Blue Shield CA — Commercial\|Exchange: $36.54
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: RL-A-CMP 20408	$11.18	$5.62	$4.70 – $11.18
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $11.18 Aetna — Commercial\|HMO: $11.18 Aetna — Commercial\|PPO: $11.18 Aetna — Medicare\|All Plans: $10.56 BCBS - Anthem — Commercial\|All Other Plans: $10.63 BCBS - Anthem — Commercial\|Exchange: $8.73 BCBS - Anthem — Medicaid\|All Plans: $11.18 BCBS - Anthem — Medicare\|All Plans: $10.56 Blue Shield CA — Commercial\|All Other Plans: $6.04 Blue Shield CA — Commercial\|Exchange: $4.70
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: RL-SR-COMP METABOLIC PNL	$10.56	$5.31	$4.44 – $10.56
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $10.56 Aetna — Commercial\|HMO: $10.56 Aetna — Commercial\|PPO: $10.56 Aetna — Medicare\|All Plans: $10.56 BCBS - Anthem — Commercial\|All Other Plans: $10.04 BCBS - Anthem — Commercial\|Exchange: $8.24 BCBS - Anthem — Medicaid\|All Plans: $10.56 BCBS - Anthem — Medicare\|All Plans: $10.56 Blue Shield CA — Commercial\|All Other Plans: $5.71 Blue Shield CA — Commercial\|Exchange: $4.44
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$140	$70.35	$11.54 – $140
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $79.28 Aetna — Commercial\|HMO: $79.28 Aetna — Commercial\|PPO: $79.28 Aetna — Medicare\|All Plans: $13.39 BCBS - Anthem — Commercial\|All Other Plans: $133 BCBS - Anthem — Commercial\|Exchange: $109.20 BCBS - Anthem — Medicaid\|All Plans: $25.26 BCBS - Anthem — Medicare\|All Plans: $13.39 Blue Shield CA — Commercial\|All Other Plans: $75.60 Blue Shield CA — Commercial\|Exchange: $58.80
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: RL-A-CRISK E 20468A	$16.64	$8.37	$6.99 – $16.64
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $16.64 Aetna — Commercial\|HMO: $16.64 Aetna — Commercial\|PPO: $16.64 Aetna — Medicare\|All Plans: $13.39 BCBS - Anthem — Commercial\|All Other Plans: $15.81 BCBS - Anthem — Commercial\|Exchange: $12.98 BCBS - Anthem — Medicaid\|All Plans: $16.64 BCBS - Anthem — Medicare\|All Plans: $13.39 Blue Shield CA — Commercial\|All Other Plans: $8.99 Blue Shield CA — Commercial\|Exchange: $6.99
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: RL-A-LIPOELECT 80503B	$20.34	$10.22	$8.55 – $20.34
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $20.34 Aetna — Commercial\|HMO: $20.34 Aetna — Commercial\|PPO: $20.34 Aetna — Medicare\|All Plans: $13.39 BCBS - Anthem — Commercial\|All Other Plans: $19.33 BCBS - Anthem — Commercial\|Exchange: $15.87 BCBS - Anthem — Medicaid\|All Plans: $20.34 BCBS - Anthem — Medicare\|All Plans: $13.39 Blue Shield CA — Commercial\|All Other Plans: $10.99 Blue Shield CA — Commercial\|Exchange: $8.55
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$100	$50.25	$7.60 – $100
Kidney function panel: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $51.37 Aetna — Commercial\|HMO: $51.37 Aetna — Commercial\|PPO: $51.37 Aetna — Medicare\|All Plans: $8.68 BCBS - Anthem — Commercial\|All Other Plans: $95 BCBS - Anthem — Commercial\|Exchange: $78 BCBS - Anthem — Medicaid\|All Plans: $20.68 BCBS - Anthem — Medicare\|All Plans: $8.68 Blue Shield CA — Commercial\|All Other Plans: $54 Blue Shield CA — Commercial\|Exchange: $42
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RL-SR-RENAL FUNCTION PNL	$8.68	$4.37	$3.65 – $8.68
Kidney function panel: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $8.68 Aetna — Commercial\|HMO: $8.68 Aetna — Commercial\|PPO: $8.68 Aetna — Medicare\|All Plans: $8.68 BCBS - Anthem — Commercial\|All Other Plans: $8.25 BCBS - Anthem — Commercial\|Exchange: $6.78 BCBS - Anthem — Medicaid\|All Plans: $8.68 BCBS - Anthem — Medicare\|All Plans: $8.68 Blue Shield CA — Commercial\|All Other Plans: $4.69 Blue Shield CA — Commercial\|Exchange: $3.65
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL	$554	$278.37	$498.60 – $554
Kidney function panel: rates for 3 insurance plans Coventry — Commercial\|All Plans: $498.60 Health Net — Commercial\|All Plans: $554 MultiPlan — Commercial\|All Plans: $542.92
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$74	$37.19	$6.38 – $74
Liver function panel: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $48.33 Aetna — Commercial\|HMO: $48.33 Aetna — Commercial\|PPO: $48.33 Aetna — Medicare\|All Plans: $8.17 BCBS - Anthem — Commercial\|All Other Plans: $70.30 BCBS - Anthem — Commercial\|Exchange: $57.72 BCBS - Anthem — Medicaid\|All Plans: $19.40 BCBS - Anthem — Medicare\|All Plans: $8.17 Blue Shield CA — Commercial\|All Other Plans: $39.96 Blue Shield CA — Commercial\|Exchange: $31.08
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL	$412	$207.02	$370.80 – $412
Liver function panel: rates for 3 insurance plans Coventry — Commercial\|All Plans: $370.80 Health Net — Commercial\|All Plans: $412 MultiPlan — Commercial\|All Plans: $403.76
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: RL-SR-URINALYSIS W/ MICRO	$3.17	$1.60	$1.34 – $3.17
Urine test (automated, with microscope): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $3.17 Aetna — Commercial\|HMO: $3.17 Aetna — Commercial\|PPO: $3.17 Aetna — Medicare\|All Plans: $3.17 BCBS - Anthem — Commercial\|All Other Plans: $3.02 BCBS - Anthem — Commercial\|Exchange: $2.48 BCBS - Anthem — Medicaid\|All Plans: $3.17 BCBS - Anthem — Medicare\|All Plans: $3.17 Blue Shield CA — Commercial\|All Other Plans: $1.72 Blue Shield CA — Commercial\|Exchange: $1.34
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA AUTO W MICRO	$44	$22.11	$2.77 – $44
Urine test (automated, with microscope): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $18.69 Aetna — Commercial\|HMO: $18.69 Aetna — Commercial\|PPO: $18.69 Aetna — Medicare\|All Plans: $3.17 BCBS - Anthem — Commercial\|All Other Plans: $41.80 BCBS - Anthem — Commercial\|Exchange: $34.32 BCBS - Anthem — Medicaid\|All Plans: $7.95 BCBS - Anthem — Medicare\|All Plans: $3.17 Blue Shield CA — Commercial\|All Other Plans: $23.76 Blue Shield CA — Commercial\|Exchange: $18.48
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: RL-SR-URINALYSIS W/ MICRO	$3.17	$1.60	$2.86 – $3.17
Urine test (automated, with microscope): rates for 3 insurance plans Coventry — Commercial\|All Plans: $2.86 Health Net — Commercial\|All Plans: $3.17 MultiPlan — Commercial\|All Plans: $3.11
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: SPECIFIC GRAVITY UR NONL	$83	$41.71	$2.15 – $83
Urine test (manual, without microscope): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $15.15 Aetna — Commercial\|HMO: $15.15 Aetna — Commercial\|PPO: $15.15 Aetna — Medicare\|All Plans: $3.48 BCBS - Anthem — Commercial\|All Other Plans: $33.61 BCBS - Anthem — Commercial\|Exchange: $37.98 BCBS - Anthem — Medicaid\|All Plans: $6.42 BCBS - Anthem — Medicare\|All Plans: $3.48 Blue Shield CA — Commercial\|All Other Plans: $44.82 Blue Shield CA — Commercial\|Exchange: $34.86
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: UA NONAUTO WO MICRO	$21	$10.56	$2.15 – $21
Urine test (manual, without microscope): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $15.15 Aetna — Commercial\|HMO: $15.15 Aetna — Commercial\|PPO: $15.15 Aetna — Medicare\|All Plans: $3.48 BCBS - Anthem — Commercial\|All Other Plans: $19.95 BCBS - Anthem — Commercial\|Exchange: $16.38 BCBS - Anthem — Medicaid\|All Plans: $6.42 BCBS - Anthem — Medicare\|All Plans: $3.48 Blue Shield CA — Commercial\|All Other Plans: $11.34 Blue Shield CA — Commercial\|Exchange: $8.82
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: SPECIFIC GRAVITY UR NONL	$83	$41.71	$74.70 – $83
Urine test (manual, without microscope): rates for 3 insurance plans Coventry — Commercial\|All Plans: $74.70 Health Net — Commercial\|All Plans: $83 MultiPlan — Commercial\|All Plans: $81.34
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA AUTO WO MICRO	$25	$12.57	$1.96 – $25
Urine test (automated, without microscope): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $13.27 Aetna — Commercial\|HMO: $13.27 Aetna — Commercial\|PPO: $13.27 Aetna — Medicare\|All Plans: $2.25 BCBS - Anthem — Commercial\|All Other Plans: $23.75 BCBS - Anthem — Commercial\|Exchange: $19.50 BCBS - Anthem — Medicaid\|All Plans: $5.15 BCBS - Anthem — Medicare\|All Plans: $2.25 Blue Shield CA — Commercial\|All Other Plans: $13.50 Blue Shield CA — Commercial\|Exchange: $10.50
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: UA AUTO WO MICRO	$180	$90.45	$162 – $180
Urine test (automated, without microscope): rates for 3 insurance plans Coventry — Commercial\|All Plans: $162 Health Net — Commercial\|All Plans: $180 MultiPlan — Commercial\|All Plans: $176.40
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: MS-PSA TOTAL	$138	$69.34	$16.35 – $138
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $108.87 Aetna — Commercial\|HMO: $108.87 Aetna — Commercial\|PPO: $108.87 Aetna — Medicare\|All Plans: $18.39 BCBS - Anthem — Commercial\|All Other Plans: $131.10 BCBS - Anthem — Commercial\|Exchange: $107.64 BCBS - Anthem — Medicaid\|All Plans: $45.12 BCBS - Anthem — Medicare\|All Plans: $18.39 Blue Shield CA — Commercial\|All Other Plans: $74.52 Blue Shield CA — Commercial\|Exchange: $57.96
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: RL-A-PSA FP 80206A	$5	$2.52	$2.10 – $5
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $5 Aetna — Commercial\|HMO: $5 Aetna — Commercial\|PPO: $5 Aetna — Medicare\|All Plans: $5 BCBS - Anthem — Commercial\|All Other Plans: $4.75 BCBS - Anthem — Commercial\|Exchange: $3.90 BCBS - Anthem — Medicaid\|All Plans: $5 BCBS - Anthem — Medicare\|All Plans: $5 Blue Shield CA — Commercial\|All Other Plans: $2.70 Blue Shield CA — Commercial\|Exchange: $2.10
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: RL-A-PSA ULTRA 98581	$17.36	$8.73	$7.30 – $17.36
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $17.36 Aetna — Commercial\|HMO: $17.36 Aetna — Commercial\|PPO: $17.36 Aetna — Medicare\|All Plans: $17.36 BCBS - Anthem — Commercial\|All Other Plans: $16.50 BCBS - Anthem — Commercial\|Exchange: $13.55 BCBS - Anthem — Medicaid\|All Plans: $17.36 BCBS - Anthem — Medicare\|All Plans: $17.36 Blue Shield CA — Commercial\|All Other Plans: $9.38 Blue Shield CA — Commercial\|Exchange: $7.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: RL-A-LABCORP THY CASC PRO	$105	$52.76	$14.76 – $105
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $99.39 Aetna — Commercial\|HMO: $99.39 Aetna — Commercial\|PPO: $99.39 Aetna — Medicare\|All Plans: $16.80 BCBS - Anthem — Commercial\|All Other Plans: $99.75 BCBS - Anthem — Commercial\|Exchange: $81.90 BCBS - Anthem — Medicaid\|All Plans: $41.10 BCBS - Anthem — Medicare\|All Plans: $16.80 Blue Shield CA — Commercial\|All Other Plans: $56.70 Blue Shield CA — Commercial\|Exchange: $44.10
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: RL-A-TSH 3 70225	$8	$4.02	$3.36 – $8
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $8 Aetna — Commercial\|HMO: $8 Aetna — Commercial\|PPO: $8 Aetna — Medicare\|All Plans: $8 BCBS - Anthem — Commercial\|All Other Plans: $7.60 BCBS - Anthem — Commercial\|Exchange: $6.24 BCBS - Anthem — Medicaid\|All Plans: $8 BCBS - Anthem — Medicare\|All Plans: $8 Blue Shield CA — Commercial\|All Other Plans: $4.32 Blue Shield CA — Commercial\|Exchange: $3.36
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: RL-A-TSHREFLEX 2006108	$9.11	$4.58	$3.83 – $9.11
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $9.11 Aetna — Commercial\|HMO: $9.11 Aetna — Commercial\|PPO: $9.11 Aetna — Medicare\|All Plans: $9.11 BCBS - Anthem — Commercial\|All Other Plans: $8.66 BCBS - Anthem — Commercial\|Exchange: $7.11 BCBS - Anthem — Medicaid\|All Plans: $9.11 BCBS - Anthem — Medicare\|All Plans: $9.11 Blue Shield CA — Commercial\|All Other Plans: $4.92 Blue Shield CA — Commercial\|Exchange: $3.83
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W/AUTO DIFF	$52	$26.13	$6.75 – $52
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $46 Aetna — Commercial\|HMO: $46 Aetna — Commercial\|PPO: $46 Aetna — Medicare\|All Plans: $7.77 BCBS - Anthem — Commercial\|All Other Plans: $49.40 BCBS - Anthem — Commercial\|Exchange: $40.56 BCBS - Anthem — Medicaid\|All Plans: $18.40 BCBS - Anthem — Medicare\|All Plans: $7.77 Blue Shield CA — Commercial\|All Other Plans: $28.08 Blue Shield CA — Commercial\|Exchange: $21.84
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC W/AUTO DIFF	$432	$217.07	$388.80 – $432
Complete blood count (CBC) with differential: rates for 3 insurance plans Coventry — Commercial\|All Plans: $388.80 Health Net — Commercial\|All Plans: $432 MultiPlan — Commercial\|All Plans: $423.36
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTO W/O DIFF	$54	$27.14	$5.71 – $54
Complete blood count (CBC), automated: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $38.30 Aetna — Commercial\|HMO: $38.30 Aetna — Commercial\|PPO: $38.30 Aetna — Medicare\|All Plans: $6.47 BCBS - Anthem — Commercial\|All Other Plans: $51.30 BCBS - Anthem — Commercial\|Exchange: $42.12 BCBS - Anthem — Medicaid\|All Plans: $15.03 BCBS - Anthem — Medicare\|All Plans: $6.47 Blue Shield CA — Commercial\|All Other Plans: $29.16 Blue Shield CA — Commercial\|Exchange: $22.68
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: CBC AUTO W/O DIFF	$319	$160.29	$287.10 – $319
Complete blood count (CBC), automated: rates for 3 insurance plans Coventry — Commercial\|All Plans: $287.10 Health Net — Commercial\|All Plans: $319 MultiPlan — Commercial\|All Plans: $312.62
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	$40	$20.10	$3.49 – $40
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $23.25 Aetna — Commercial\|HMO: $23.25 Aetna — Commercial\|PPO: $23.25 Aetna — Medicare\|All Plans: $4.29 BCBS - Anthem — Commercial\|All Other Plans: $38 BCBS - Anthem — Commercial\|Exchange: $31.20 BCBS - Anthem — Medicaid\|All Plans: $8.74 BCBS - Anthem — Medicare\|All Plans: $4.29 Blue Shield CA — Commercial\|All Other Plans: $21.60 Blue Shield CA — Commercial\|Exchange: $16.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME NONL	$14	$7.04	$3.49 – $14
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $14 Aetna — Commercial\|HMO: $14 Aetna — Commercial\|PPO: $14 Aetna — Medicare\|All Plans: $4.29 BCBS - Anthem — Commercial\|All Other Plans: $13.30 BCBS - Anthem — Commercial\|Exchange: $10.92 BCBS - Anthem — Medicaid\|All Plans: $8.74 BCBS - Anthem — Medicare\|All Plans: $4.29 Blue Shield CA — Commercial\|All Other Plans: $7.56 Blue Shield CA — Commercial\|Exchange: $5.88
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: RL-A-ANTI PHOS 3017157A	$7	$3.52	$2.94 – $7
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $7 Aetna — Commercial\|HMO: $7 Aetna — Commercial\|PPO: $7 Aetna — Medicare\|All Plans: $4.29 BCBS - Anthem — Commercial\|All Other Plans: $6.65 BCBS - Anthem — Commercial\|Exchange: $5.46 BCBS - Anthem — Medicaid\|All Plans: $7 BCBS - Anthem — Medicare\|All Plans: $4.29 Blue Shield CA — Commercial\|All Other Plans: $3.78 Blue Shield CA — Commercial\|Exchange: $2.94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PARTIAL THROMBO TIME	$68	$34.17	$5.34 – $68
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $35.51 Aetna — Commercial\|HMO: $35.51 Aetna — Commercial\|PPO: $35.51 Aetna — Medicare\|All Plans: $6.01 BCBS - Anthem — Commercial\|All Other Plans: $64.60 BCBS - Anthem — Commercial\|Exchange: $53.04 BCBS - Anthem — Medicaid\|All Plans: $13.83 BCBS - Anthem — Medicare\|All Plans: $6.01 Blue Shield CA — Commercial\|All Other Plans: $36.72 Blue Shield CA — Commercial\|Exchange: $28.56
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: RL-A-ANTI PHOS 3017157C	$7	$3.52	$2.94 – $7
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $7 Aetna — Commercial\|HMO: $7 Aetna — Commercial\|PPO: $7 Aetna — Medicare\|All Plans: $6.01 BCBS - Anthem — Commercial\|All Other Plans: $6.65 BCBS - Anthem — Commercial\|Exchange: $5.46 BCBS - Anthem — Medicaid\|All Plans: $7 BCBS - Anthem — Medicare\|All Plans: $6.01 Blue Shield CA — Commercial\|All Other Plans: $3.78 Blue Shield CA — Commercial\|Exchange: $2.94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: RL-A-LUPUS RFLX 3017009C	$6.68	$3.36	$2.81 – $6.68
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $6.68 Aetna — Commercial\|HMO: $6.68 Aetna — Commercial\|PPO: $6.68 Aetna — Medicare\|All Plans: $6.01 BCBS - Anthem — Commercial\|All Other Plans: $6.35 BCBS - Anthem — Commercial\|Exchange: $5.22 BCBS - Anthem — Medicaid\|All Plans: $6.68 BCBS - Anthem — Medicare\|All Plans: $6.01 Blue Shield CA — Commercial\|All Other Plans: $3.61 Blue Shield CA — Commercial\|Exchange: $2.81

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD WO CON	$5,351	$2,688.64	$134.46 – $5,351
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates Aetna — Commercial\|All Other Plans: $787.77 Aetna — Commercial\|HMO: $787.77 Aetna — Commercial\|PPO: $787.77 Aetna — Medicare\|All Plans: $134.46 BCBS - Anthem — Commercial\|All Other Plans: $1,262 BCBS - Anthem — Commercial\|Exchange: $1,035 BCBS - Anthem — Medicaid\|All Plans: $513.88 BCBS - Anthem — Medicare\|All Plans: $134.46 Blue Shield CA — Medicare\|All Plans: $134.46 California Health & Wellness — Medicaid\|All Plans: $300.69
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT HEAD WO CON	$5,351	$2,688.64	$4,815.90 – $5,351
CT scan of the head or brain, without contrast: rates for 3 insurance plans Coventry — Commercial\|All Plans: $4,815.90 Health Net — Commercial\|All Plans: $5,351 MultiPlan — Commercial\|All Plans: $5,243.98
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MR BRAIN WO AND W CON	$10,374	$5,212.47	$448.71 – $10,374
MRI of the brain, before and after contrast: 10 of 23 insurance plan rates Aetna — Commercial\|All Other Plans: $1,856.91 Aetna — Commercial\|HMO: $1,856.91 Aetna — Commercial\|PPO: $1,856.91 Aetna — Medicare\|All Plans: $448.71 BCBS - Anthem — Commercial\|All Other Plans: $2,672 BCBS - Anthem — Commercial\|Exchange: $2,191 BCBS - Anthem — Medicaid\|All Plans: $2,487.94 BCBS - Anthem — Medicare\|All Plans: $448.71 Blue Shield CA — Medicare\|All Plans: $448.71 California Health & Wellness — Medicaid\|All Plans: $923.59
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MR BRAIN WO AND W CON	$10,374	$5,212.47	$9,336.60 – $10,374
MRI of the brain, before and after contrast: rates for 3 insurance plans Coventry — Commercial\|All Plans: $9,336.60 Health Net — Commercial\|All Plans: $10,374 MultiPlan — Commercial\|All Plans: $10,166.52
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: XR CHEST 2 VIEWS	$1,591	$799.41	$56.86 – $1,591
Chest X-ray, 2 views: 10 of 23 insurance plan rates Aetna — Commercial\|All Other Plans: $99.33 Aetna — Commercial\|HMO: $99.33 Aetna — Commercial\|PPO: $99.33 Aetna — Medicare\|All Plans: $111.93 BCBS - Anthem — Commercial\|All Other Plans: $313.59 BCBS - Anthem — Commercial\|Exchange: $354.43 BCBS - Anthem — Medicaid\|All Plans: $71.51 BCBS - Anthem — Medicare\|All Plans: $111.93 Blue Shield CA — Medicare\|All Plans: $111.93 California Health & Wellness — Medicaid\|All Plans: $56.86
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: XR CHEST 2 VIEWS	$1,591	$799.41	$1,431.90 – $1,591
Chest X-ray, 2 views: rates for 3 insurance plans Coventry — Commercial\|All Plans: $1,431.90 Health Net — Commercial\|All Plans: $1,591 MultiPlan — Commercial\|All Plans: $1,559.18
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR LUMBAR SPINE 4+ VIEWS	$1,883	$946.13	$129.64 – $1,883
X-ray of the lower spine, at least 4 views: 10 of 23 insurance plan rates Aetna — Commercial\|All Other Plans: $202.76 Aetna — Commercial\|HMO: $202.76 Aetna — Commercial\|PPO: $202.76 Aetna — Medicare\|All Plans: $134.46 BCBS - Anthem — Commercial\|All Other Plans: $370.33 BCBS - Anthem — Commercial\|Exchange: $418.56 BCBS - Anthem — Medicaid\|All Plans: $129.64 BCBS - Anthem — Medicare\|All Plans: $134.46 Blue Shield CA — Medicare\|All Plans: $134.46 California Health & Wellness — Medicaid\|All Plans: $130.20
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: XR LUMBAR SPINE 4+ VIEWS	$1,883	$946.13	$1,694.70 – $1,883
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Coventry — Commercial\|All Plans: $1,694.70 Health Net — Commercial\|All Plans: $1,883 MultiPlan — Commercial\|All Plans: $1,845.34
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MR L SPINE WO CON	$6,880	$3,456.90	$306.88 – $6,880
MRI of the lower back (lumbar spine), without contrast: 10 of 23 insurance plan rates Aetna — Commercial\|All Other Plans: $1,856.91 Aetna — Commercial\|HMO: $1,856.91 Aetna — Commercial\|PPO: $1,856.91 Aetna — Medicare\|All Plans: $306.88 BCBS - Anthem — Commercial\|All Other Plans: $2,672 BCBS - Anthem — Commercial\|Exchange: $2,191 BCBS - Anthem — Medicaid\|All Plans: $1,503.07 BCBS - Anthem — Medicare\|All Plans: $306.88 Blue Shield CA — Medicare\|All Plans: $306.88 California Health & Wellness — Medicaid\|All Plans: $552.28
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MR L SPINE WO CON	$6,880	$3,456.90	$6,192 – $6,880
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans Coventry — Commercial\|All Plans: $6,192 Health Net — Commercial\|All Plans: $6,880 MultiPlan — Commercial\|All Plans: $6,742.40
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W CON	$11,314	$5,684.78	$225.59 – $11,314
CT scan of the pelvis, with contrast: 10 of 23 insurance plan rates Aetna — Commercial\|All Other Plans: $1,205.38 Aetna — Commercial\|HMO: $1,205.38 Aetna — Commercial\|PPO: $1,205.38 Aetna — Medicare\|All Plans: $225.59 BCBS - Anthem — Commercial\|All Other Plans: $1,262 BCBS - Anthem — Commercial\|Exchange: $1,035 BCBS - Anthem — Medicaid\|All Plans: $661.86 BCBS - Anthem — Medicare\|All Plans: $225.59 Blue Shield CA — Medicare\|All Plans: $225.59 California Health & Wellness — Medicaid\|All Plans: $607.05
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS W CON	$11,314	$5,684.78	$10,182.60 – $11,314
CT scan of the pelvis, with contrast: rates for 3 insurance plans Coventry — Commercial\|All Plans: $10,182.60 Health Net — Commercial\|All Plans: $11,314 MultiPlan — Commercial\|All Plans: $11,087.72
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABDOMEN PELVIS W CON	$12,189	$6,124.43	$448.71 – $12,189
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates Aetna — Commercial\|All Other Plans: $1,276.16 Aetna — Commercial\|HMO: $1,276.16 Aetna — Commercial\|PPO: $1,276.16 Aetna — Medicare\|All Plans: $448.71 BCBS - Anthem — Commercial\|All Other Plans: $1,262 BCBS - Anthem — Commercial\|Exchange: $1,035 BCBS - Anthem — Medicaid\|All Plans: $512.88 BCBS - Anthem — Medicare\|All Plans: $448.71 Blue Shield CA — Medicare\|All Plans: $448.71 California Health & Wellness — Medicaid\|All Plans: $583.33
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABDOMEN PELVIS W CON	$12,189	$6,124.43	$10,970.10 – $12,189
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans Coventry — Commercial\|All Plans: $10,970.10 Health Net — Commercial\|All Plans: $12,189 MultiPlan — Commercial\|All Plans: $11,945.22
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABD COMPLETE WO CON	$3,492	$1,754.58	$134.46 – $3,492
Ultrasound of the abdomen, complete: 10 of 23 insurance plan rates Aetna — Commercial\|All Other Plans: $487.51 Aetna — Commercial\|HMO: $487.51 Aetna — Commercial\|PPO: $487.51 Aetna — Medicare\|All Plans: $134.46 BCBS - Anthem — Commercial\|All Other Plans: $799.49 BCBS - Anthem — Commercial\|Exchange: $903.62 BCBS - Anthem — Medicaid\|All Plans: $217.20 BCBS - Anthem — Medicare\|All Plans: $134.46 Blue Shield CA — Medicare\|All Plans: $134.46 California Health & Wellness — Medicaid\|All Plans: $247.03
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US ABD COMPLETE WO CON	$3,492	$1,754.58	$3,142.80 – $3,492
Ultrasound of the abdomen, complete: rates for 3 insurance plans Coventry — Commercial\|All Plans: $3,142.80 Health Net — Commercial\|All Plans: $3,492 MultiPlan — Commercial\|All Plans: $3,422.16
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG=>14WK SNG 1ST GES	$1,760	$884.33	$134.46 – $1,760
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates Aetna — Commercial\|All Other Plans: $487.51 Aetna — Commercial\|HMO: $487.51 Aetna — Commercial\|PPO: $487.51 Aetna — Medicare\|All Plans: $134.46 BCBS - Anthem — Commercial\|All Other Plans: $829.38 BCBS - Anthem — Commercial\|Exchange: $937.41 BCBS - Anthem — Medicaid\|All Plans: $246.23 BCBS - Anthem — Medicare\|All Plans: $134.46 Blue Shield CA — Medicare\|All Plans: $134.46 California Health & Wellness — Medicaid\|All Plans: $280.05
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US PREG=>14WK SNG 1ST GES	$1,760	$884.33	$1,584 – $1,760
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans Coventry — Commercial\|All Plans: $1,584 Health Net — Commercial\|All Plans: $1,760 MultiPlan — Commercial\|All Plans: $1,724.80
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL	$2,405	$1,208.41	$134.46 – $2,405
Transvaginal ultrasound: 10 of 23 insurance plan rates Aetna — Commercial\|All Other Plans: $463.34 Aetna — Commercial\|HMO: $463.34 Aetna — Commercial\|PPO: $463.34 Aetna — Medicare\|All Plans: $134.46 BCBS - Anthem — Commercial\|All Other Plans: $620.61 BCBS - Anthem — Commercial\|Exchange: $701.44 BCBS - Anthem — Medicaid\|All Plans: $176.61 BCBS - Anthem — Medicare\|All Plans: $134.46 Blue Shield CA — Medicare\|All Plans: $134.46 California Health & Wellness — Medicaid\|All Plans: $200.87
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US TRANSVAGINAL	$2,405	$1,208.41	$2,164.50 – $2,405
Transvaginal ultrasound: rates for 3 insurance plans Coventry — Commercial\|All Plans: $2,164.50 Health Net — Commercial\|All Plans: $2,405 MultiPlan — Commercial\|All Plans: $2,356.90

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LT HRT CTH VENTRICULGRPHY	$15,295	$7,685.05	$1,388.41 – $32,252
Left heart catheterization (diagnostic): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $18,608 Aetna — Commercial\|HMO: $18,608 Aetna — Commercial\|PPO: $18,608 Aetna — Medicare\|All Plans: $4,169.67 BCBS - Anthem — Commercial\|All Other Plans: $24,132 BCBS - Anthem — Commercial\|Exchange: $19,788 BCBS - Anthem — Medicaid\|All Plans: $1,388.41 BCBS - Anthem — Medicare\|All Plans: $4,169.67 Blue Shield CA — Commercial\|All Other Plans: $28,810 Blue Shield CA — Commercial\|Exchange: $21,860
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: LT HRT CTH VENTRICULGRPHY	$15,295	$7,685.05	$13,765.50 – $15,295
Left heart catheterization (diagnostic): rates for 3 insurance plans Coventry — Commercial\|All Plans: $13,765.50 Health Net — Commercial\|All Plans: $15,295 MultiPlan — Commercial\|All Plans: $14,989.10
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: COMP EP EVAL W RT ATR PCE	$15,864	$7,970.95	$1,557.12 – $40,316
Heart rhythm study (electrophysiology evaluation): 10 of 23 insurance plan rates Aetna — Commercial\|All Other Plans: $18,608 Aetna — Commercial\|HMO: $18,608 Aetna — Commercial\|PPO: $18,608 Aetna — Medicare\|All Plans: $10,031.67 BCBS - Anthem — Commercial\|All Other Plans: $22,254 BCBS - Anthem — Commercial\|Exchange: $18,248 BCBS - Anthem — Medicaid\|All Plans: $1,557.12 BCBS - Anthem — Medicare\|All Plans: $10,031.67 Blue Shield CA — Medicare\|All Plans: $10,031.67 California Health & Wellness — Medicaid\|All Plans: $2,246.18
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) In the file: COMP EP EVAL W RT ATR PCE	$15,864	$7,970.95	$14,277.60 – $15,864
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans Coventry — Commercial\|All Plans: $14,277.60 Health Net — Commercial\|All Plans: $15,864 MultiPlan — Commercial\|All Plans: $15,546.72
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: EP AFIB ABL PV ISOL 3DMAP	$69,260	$34,800.04	$2,311.55 – $69,260
Heart rhythm study with ablation for atrial fibrillation: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $18,608 Aetna — Commercial\|HMO: $18,608 Aetna — Commercial\|PPO: $18,608 Aetna — Medicare\|All Plans: $33,617.65 BCBS - Anthem — Commercial\|All Other Plans: $24,186 BCBS - Anthem — Commercial\|Exchange: $19,833 BCBS - Anthem — Medicaid\|All Plans: $2,441.33 BCBS - Anthem — Medicare\|All Plans: $33,617.65 Blue Shield CA — Commercial\|All Other Plans: $28,810 Blue Shield CA — Commercial\|Exchange: $21,860
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: EP AFIB ABL PV ISOL 3DMAP	$69,260	$34,800.04	$62,334 – $69,260
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans Coventry — Commercial\|All Plans: $62,334 Health Net — Commercial\|All Plans: $69,260 MultiPlan — Commercial\|All Plans: $67,874.80

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYCHOTH PAT 38-52 MIN PO	$211	$106.02	$166.69 – $211
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates Aetna — Medicare\|All Plans: $211 BCBS - Anthem — Medicaid\|All Plans: $205.61 BCBS - Anthem — Medicare\|All Plans: $211 Blue Shield CA — Medicare\|All Plans: $211 California Health & Wellness — Medicaid\|All Plans: $176.32 Cigna — Commercial\|All Other Plans: $166.69 Cigna — Commercial\|PPO: $166.69 Coventry — Commercial\|All Plans: $189.90 Health Net — Commercial\|All Plans: $211 Health Net — Medicare\|All Plans: $211
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: PSYCHOTH PAT 38-52 MIN PO	$211	$106.02	$189.90 – $211
Psychotherapy, 45 minutes: rates for 3 insurance plans Coventry — Commercial\|All Plans: $189.90 Health Net — Commercial\|All Plans: $211 MultiPlan — Commercial\|All Plans: $206.78
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYCHOTH PAT >53 MIN PO	$238	$119.59	$178.40 – $238
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates Aetna — Medicare\|All Plans: $228.29 BCBS - Anthem — Medicaid\|All Plans: $178.40 BCBS - Anthem — Medicare\|All Plans: $228.29 Blue Shield CA — Medicare\|All Plans: $228.29 California Health & Wellness — Medicaid\|All Plans: $238 Cigna — Commercial\|All Other Plans: $188.02 Cigna — Commercial\|PPO: $188.02 Coventry — Commercial\|All Plans: $214.20 Health Net — Commercial\|All Plans: $238 Health Net — Medicare\|All Plans: $228.29
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: PSYCHOTH PAT >53 MIN PO	$238	$119.59	$214.20 – $238
Psychotherapy, 60 minutes: rates for 3 insurance plans Coventry — Commercial\|All Plans: $214.20 Health Net — Commercial\|All Plans: $238 MultiPlan — Commercial\|All Plans: $233.24

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$550.11 – $21,502
Removal of breast growth (open surgery): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $7,949 Aetna — Commercial\|HMO: $7,949 Aetna — Commercial\|PPO: $7,949 Aetna — Medicare\|All Plans: $5,035.90 BCBS - Anthem — Commercial\|All Other Plans: $19,432 BCBS - Anthem — Commercial\|Exchange: $15,934 BCBS - Anthem — Medicaid\|All Plans: $550.11 BCBS - Anthem — Medicare\|All Plans: $5,035.90 Blue Shield CA — Commercial\|All Other Plans: $14,760 Blue Shield CA — Commercial\|Exchange: $11,199
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$3,887.72 – $45,688
Total hip replacement: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $15,790 Aetna — Commercial\|HMO: $15,790 Aetna — Commercial\|PPO: $15,790 Aetna — Medicare\|All Plans: $16,512.69 BCBS - Anthem — Commercial\|All Other Plans: $24,032 BCBS - Anthem — Commercial\|Exchange: $19,706 BCBS - Anthem — Medicaid\|All Plans: $3,887.72 BCBS - Anthem — Medicare\|All Plans: $16,512.69 Blue Shield CA — Commercial\|All Other Plans: $14,760 Blue Shield CA — Commercial\|Exchange: $11,199
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$3,887.72 – $45,688
Total knee replacement: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $15,790 Aetna — Commercial\|HMO: $15,790 Aetna — Commercial\|PPO: $15,790 Aetna — Medicare\|All Plans: $16,512.69 BCBS - Anthem — Commercial\|All Other Plans: $24,186 BCBS - Anthem — Commercial\|Exchange: $19,833 BCBS - Anthem — Medicaid\|All Plans: $3,887.72 BCBS - Anthem — Medicare\|All Plans: $16,512.69 Blue Shield CA — Commercial\|All Other Plans: $14,760 Blue Shield CA — Commercial\|Exchange: $11,199
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$1,101.21 – $22,254
Shoulder arthroscopy: shaving of shoulder bone: 10 of 18 insurance plan rates Aetna — Commercial\|All Other Plans: $7,949 Aetna — Commercial\|HMO: $7,949 Aetna — Commercial\|PPO: $7,949 BCBS - Anthem — Commercial\|All Other Plans: $22,254 BCBS - Anthem — Commercial\|Exchange: $18,248 BCBS - Anthem — Medicaid\|All Plans: $1,101.21 Blue Shield CA — Commercial\|All Other Plans: $14,760 Blue Shield CA — Commercial\|Exchange: $11,199 California Health & Wellness — Medicaid\|All Plans: $1,252.47 Partnership Health Plan — Medicaid\|All Plans: $2,680.41
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$1,438.44 – $26,016
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $10,360 Aetna — Commercial\|HMO: $10,360 Aetna — Commercial\|PPO: $10,360 Aetna — Medicare\|All Plans: $4,208.34 BCBS - Anthem — Commercial\|All Other Plans: $19,869 BCBS - Anthem — Commercial\|Exchange: $16,293 BCBS - Anthem — Medicaid\|All Plans: $1,438.44 BCBS - Anthem — Medicare\|All Plans: $4,208.34 Blue Shield CA — Commercial\|All Other Plans: $18,251 Blue Shield CA — Commercial\|Exchange: $13,848
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$440.28 – $21,502
Removal of tonsils and adenoids (under age 12): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $7,949 Aetna — Commercial\|HMO: $7,949 Aetna — Commercial\|PPO: $7,949 Aetna — Medicare\|All Plans: $7,613.89 BCBS - Anthem — Commercial\|All Other Plans: $19,869 BCBS - Anthem — Commercial\|Exchange: $16,293 BCBS - Anthem — Medicaid\|All Plans: $440.28 BCBS - Anthem — Medicare\|All Plans: $7,613.89 Blue Shield CA — Commercial\|All Other Plans: $14,760 Blue Shield CA — Commercial\|Exchange: $11,199
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$585.09 – $16,125
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $5,634 Aetna — Commercial\|HMO: $5,634 Aetna — Commercial\|PPO: $5,634 Aetna — Medicare\|All Plans: $1,166.53 BCBS - Anthem — Commercial\|All Other Plans: $9,955 BCBS - Anthem — Commercial\|Exchange: $8,163 BCBS - Anthem — Medicaid\|All Plans: $585.09 BCBS - Anthem — Medicare\|All Plans: $1,166.53 Blue Shield CA — Commercial\|All Other Plans: $9,651 Blue Shield CA — Commercial\|Exchange: $7,323
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$611.36 – $16,125
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $6,745 Aetna — Commercial\|HMO: $6,745 Aetna — Commercial\|PPO: $6,745 Aetna — Medicare\|All Plans: $1,166.53 BCBS - Anthem — Commercial\|All Other Plans: $9,955 BCBS - Anthem — Commercial\|Exchange: $8,163 BCBS - Anthem — Medicaid\|All Plans: $611.36 BCBS - Anthem — Medicare\|All Plans: $1,166.53 Blue Shield CA — Commercial\|All Other Plans: $12,915 Blue Shield CA — Commercial\|Exchange: $9,799
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$770.73 – $16,125
Colonoscopy (diagnostic): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $6,745 Aetna — Commercial\|HMO: $6,745 Aetna — Commercial\|PPO: $6,745 Aetna — Medicare\|All Plans: $1,196.08 BCBS - Anthem — Commercial\|All Other Plans: $3,977 BCBS - Anthem — Commercial\|Exchange: $3,261 BCBS - Anthem — Medicaid\|All Plans: $770.73 BCBS - Anthem — Medicare\|All Plans: $1,196.08 Blue Shield CA — Commercial\|All Other Plans: $12,915 Blue Shield CA — Commercial\|Exchange: $9,799
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$862.10 – $16,125
Colonoscopy with biopsy: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $6,745 Aetna — Commercial\|HMO: $6,745 Aetna — Commercial\|PPO: $6,745 Aetna — Medicare\|All Plans: $1,539.08 BCBS - Anthem — Commercial\|All Other Plans: $3,977 BCBS - Anthem — Commercial\|Exchange: $3,261 BCBS - Anthem — Medicaid\|All Plans: $862.10 BCBS - Anthem — Medicare\|All Plans: $1,539.08 Blue Shield CA — Commercial\|All Other Plans: $12,915 Blue Shield CA — Commercial\|Exchange: $9,799
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$1,044.83 – $16,125
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $6,745 Aetna — Commercial\|HMO: $6,745 Aetna — Commercial\|PPO: $6,745 Aetna — Medicare\|All Plans: $1,539.08 BCBS - Anthem — Commercial\|All Other Plans: $3,977 BCBS - Anthem — Commercial\|Exchange: $3,261 BCBS - Anthem — Medicaid\|All Plans: $1,044.83 BCBS - Anthem — Medicare\|All Plans: $1,539.08 Blue Shield CA — Commercial\|All Other Plans: $12,915 Blue Shield CA — Commercial\|Exchange: $9,799
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$308.98 – $16,125
Ultrasound of the lower bowel by endoscope: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $6,745 Aetna — Commercial\|HMO: $6,745 Aetna — Commercial\|PPO: $6,745 Aetna — Medicare\|All Plans: $1,539.08 BCBS - Anthem — Commercial\|All Other Plans: $9,955 BCBS - Anthem — Commercial\|Exchange: $8,163 BCBS - Anthem — Medicaid\|All Plans: $308.98 BCBS - Anthem — Medicare\|All Plans: $1,539.08 Blue Shield CA — Commercial\|All Other Plans: $9,651 Blue Shield CA — Commercial\|Exchange: $7,323
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$1,216.85 – $40,316
Gallbladder removal by laparoscope: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $12,048 Aetna — Commercial\|HMO: $12,048 Aetna — Commercial\|PPO: $12,048 Aetna — Medicare\|All Plans: $7,775.56 BCBS - Anthem — Commercial\|All Other Plans: $24,186 BCBS - Anthem — Commercial\|Exchange: $19,833 BCBS - Anthem — Medicaid\|All Plans: $1,216.85 BCBS - Anthem — Medicare\|All Plans: $7,775.56 Blue Shield CA — Commercial\|All Other Plans: $28,810 Blue Shield CA — Commercial\|Exchange: $21,860
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$898.08 – $26,016
Groin (inguinal) hernia repair, age 5 or older: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $10,360 Aetna — Commercial\|HMO: $10,360 Aetna — Commercial\|PPO: $10,360 Aetna — Medicare\|All Plans: $4,604.99 BCBS - Anthem — Commercial\|All Other Plans: $19,869 BCBS - Anthem — Commercial\|Exchange: $16,293 BCBS - Anthem — Medicaid\|All Plans: $898.08 BCBS - Anthem — Medicare\|All Plans: $4,604.99 Blue Shield CA — Commercial\|All Other Plans: $18,251 Blue Shield CA — Commercial\|Exchange: $13,848
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$228.41 – $9,955
Prostate biopsy: rates for 8 insurance plans BCBS - Anthem — Commercial\|All Other Plans: $9,955 BCBS - Anthem — Commercial\|Exchange: $8,163 BCBS - Anthem — Medicaid\|All Plans: $228.41 Cigna — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) Cigna — Commercial\|PPO: 79% (a percentage in the contract, not a dollar amount) Coventry — Commercial\|All Plans: 90% (a percentage in the contract, not a dollar amount) Health Net — Commercial\|All Plans: 100% (a percentage in the contract, not a dollar amount) MultiPlan — Commercial\|All Plans: 98% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$1,734.62 – $45,688
Prostate removal by laparoscope (radical prostatectomy): 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $12,048 Aetna — Commercial\|HMO: $12,048 Aetna — Commercial\|PPO: $12,048 Aetna — Medicare\|All Plans: $13,671.74 BCBS - Anthem — Commercial\|All Other Plans: $24,084 BCBS - Anthem — Commercial\|Exchange: $19,749 BCBS - Anthem — Medicaid\|All Plans: $1,734.62 BCBS - Anthem — Medicare\|All Plans: $13,671.74 Blue Shield CA — Commercial\|All Other Plans: $9,651 Blue Shield CA — Commercial\|Exchange: $7,323
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$457.69 – $21,502
Hysteroscopy with biopsy of the uterus lining: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $7,949 Aetna — Commercial\|HMO: $7,949 Aetna — Commercial\|PPO: $7,949 Aetna — Medicare\|All Plans: $4,163.48 BCBS - Anthem — Commercial\|All Other Plans: $9,955 BCBS - Anthem — Commercial\|Exchange: $8,163 BCBS - Anthem — Medicaid\|All Plans: $457.69 BCBS - Anthem — Medicare\|All Plans: $4,163.48 Blue Shield CA — Commercial\|All Other Plans: $14,760 Blue Shield CA — Commercial\|Exchange: $11,199
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: INJ EPI/SUBAR L/S W IMAG	$1,875	$942.11	$400.45 – $13,438
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $5,634 Aetna — Commercial\|HMO: $5,634 Aetna — Commercial\|PPO: $5,634 Aetna — Medicare\|All Plans: $907.88 BCBS - Anthem — Commercial\|All Other Plans: $3,977 BCBS - Anthem — Commercial\|Exchange: $3,261 BCBS - Anthem — Medicaid\|All Plans: $400.45 BCBS - Anthem — Medicare\|All Plans: $907.88 Blue Shield CA — Commercial\|All Other Plans: $9,651 Blue Shield CA — Commercial\|Exchange: $7,323
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: INJ EPI/SUBAR L/S W IMAG	$1,875	$942.11	$1,687.50 – $1,875
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans Coventry — Commercial\|All Plans: $1,687.50 Health Net — Commercial\|All Plans: $1,875 MultiPlan — Commercial\|All Plans: $1,837.50
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: ANES/STE EPI L/S SNGL INJ	$2,265	$1,138.07	$374.21 – $13,438
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $5,634 Aetna — Commercial\|HMO: $5,634 Aetna — Commercial\|PPO: $5,634 Aetna — Medicare\|All Plans: $1,137.58 BCBS - Anthem — Commercial\|All Other Plans: $3,977 BCBS - Anthem — Commercial\|Exchange: $3,261 BCBS - Anthem — Medicaid\|All Plans: $374.21 BCBS - Anthem — Medicare\|All Plans: $1,137.58 Blue Shield CA — Commercial\|All Other Plans: $9,651 Blue Shield CA — Commercial\|Exchange: $7,323
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: ANES/STE EPI L/S SNGL INJ	$2,265	$1,138.07	$2,038.50 – $2,265
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans Coventry — Commercial\|All Plans: $2,038.50 Health Net — Commercial\|All Plans: $2,265 MultiPlan — Commercial\|All Plans: $2,219.70
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$827.12 – $21,502
Carpal tunnel release: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $6,745 Aetna — Commercial\|HMO: $6,745 Aetna — Commercial\|PPO: $6,745 Aetna — Medicare\|All Plans: $2,511.53 BCBS - Anthem — Commercial\|All Other Plans: $9,955 BCBS - Anthem — Commercial\|Exchange: $8,163 BCBS - Anthem — Medicaid\|All Plans: $827.12 BCBS - Anthem — Medicare\|All Plans: $2,511.53 Blue Shield CA — Commercial\|All Other Plans: $12,915 Blue Shield CA — Commercial\|Exchange: $9,799
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$485.96 – $13,438
Laser treatment of clouding after cataract surgery: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $6,745 Aetna — Commercial\|HMO: $6,745 Aetna — Commercial\|PPO: $6,745 Aetna — Medicare\|All Plans: $707.39 BCBS - Anthem — Commercial\|All Other Plans: $9,955 BCBS - Anthem — Commercial\|Exchange: $8,163 BCBS - Anthem — Medicaid\|All Plans: $485.96 BCBS - Anthem — Medicare\|All Plans: $707.39 Blue Shield CA — Commercial\|All Other Plans: $12,915 Blue Shield CA — Commercial\|Exchange: $9,799
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,624.20 – $28,072
Cataract removal with lens implant: 10 of 25 insurance plan rates Aetna — Commercial\|All Other Plans: $12,048 Aetna — Commercial\|HMO: $12,048 Aetna — Commercial\|PPO: $12,048 Aetna — Medicare\|All Plans: $2,968.25 BCBS - Anthem — Commercial\|All Other Plans: $24,084 BCBS - Anthem — Commercial\|Exchange: $19,749 BCBS - Anthem — Medicaid\|All Plans: $2,624.20 BCBS - Anthem — Medicare\|All Plans: $2,968.25 Blue Shield CA — Commercial\|All Other Plans: $28,072 Blue Shield CA — Commercial\|Exchange: $21,300

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$2,841.80 – $12,915
Vaginal delivery, with care before and after: 10 of 12 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $12,599 BCBS - Anthem — Commercial\|Exchange: $10,331 BCBS - Anthem — Medicaid\|All Plans: $2,841.80 Blue Shield CA — Commercial\|All Other Plans: $12,915 Blue Shield CA — Commercial\|Exchange: $9,799 California Health & Wellness — Medicaid\|All Plans: $4,127.62 Partnership Health Plan — Medicaid\|All Plans: $8,833.49 Cigna — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) Cigna — Commercial\|PPO: 79% (a percentage in the contract, not a dollar amount) Coventry — Commercial\|All Plans: 90% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$2,841.97 – $14,760
Cesarean delivery (C-section), with care before and after: 10 of 12 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $12,599 BCBS - Anthem — Commercial\|Exchange: $10,331 BCBS - Anthem — Medicaid\|All Plans: $2,841.97 Blue Shield CA — Commercial\|All Other Plans: $14,760 Blue Shield CA — Commercial\|Exchange: $11,199 California Health & Wellness — Medicaid\|All Plans: $4,130.08 Partnership Health Plan — Medicaid\|All Plans: $8,838.77 Cigna — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) Cigna — Commercial\|PPO: 79% (a percentage in the contract, not a dollar amount) Coventry — Commercial\|All Plans: 90% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$2,841.80 – $12,915
Vaginal delivery after a previous C-section, with care before and after: 10 of 12 insurance plan rates BCBS - Anthem — Commercial\|All Other Plans: $12,599 BCBS - Anthem — Commercial\|Exchange: $10,331 BCBS - Anthem — Medicaid\|All Plans: $2,841.80 Blue Shield CA — Commercial\|All Other Plans: $12,915 Blue Shield CA — Commercial\|Exchange: $9,799 California Health & Wellness — Medicaid\|All Plans: $4,127.62 Partnership Health Plan — Medicaid\|All Plans: $8,833.49 Cigna — Commercial\|All Other Plans: 79% (a percentage in the contract, not a dollar amount) Cigna — Commercial\|PPO: 79% (a percentage in the contract, not a dollar amount) Coventry — Commercial\|All Plans: 90% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$6,758 – $31,548
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 17 insurance plan rates Aetna — Commercial\|All Other Plans: $31,548 Aetna — Commercial\|HMO: $31,548 Aetna — Commercial\|PPO: $31,548 Aetna — Medicare\|All Plans: $14,484.73 BCBS - Anthem — Medicare\|All Plans: $14,484.73 Blue Shield CA — Medicare\|All Plans: $14,484.73 California Health & Wellness — Medicaid\|All Plans: $6,758 Health Net — Medicare\|All Plans: $14,484.73 Humana — Medicare\|All Plans: $14,484.73 Kaiser — Medicare\|All Plans: $14,484.73
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$3,320.46 – $27,700
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates Aetna — Medicare\|All Plans: $3,320.46 BCBS - Anthem — Medicare\|All Plans: $3,320.46 Blue Shield CA — Medicare\|All Plans: $3,320.46 Health Net — Medicare\|All Plans: $3,320.46 Humana — Medicare\|All Plans: $3,320.46 Kaiser — Medicare\|All Plans: $3,320.46 United — Commercial\|All Other Plans: $27,700 United — Commercial\|HMO: $27,169 United — Commercial\|Options: $27,700 United — Medicare\|All Plans: $3,320.46
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$4,048.83 – $27,700
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates Aetna — Medicare\|All Plans: $4,048.83 BCBS - Anthem — Medicare\|All Plans: $4,048.83 Blue Shield CA — Medicare\|All Plans: $4,048.83 Health Net — Medicare\|All Plans: $4,048.83 Humana — Medicare\|All Plans: $4,048.83 Kaiser — Medicare\|All Plans: $4,048.83 United — Commercial\|All Other Plans: $27,700 United — Commercial\|HMO: $27,169 United — Commercial\|Options: $27,700 United — Medicare\|All Plans: $4,048.83
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$2,342.19 – $28,691
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates Aetna — Medicare\|All Plans: $2,342.19 BCBS - Anthem — Medicare\|All Plans: $2,342.19 Blue Shield CA — Medicare\|All Plans: $2,342.19 Health Net — Medicare\|All Plans: $2,342.19 Humana — Medicare\|All Plans: $2,342.19 Kaiser — Medicare\|All Plans: $2,342.19 United — Commercial\|All Other Plans: $28,691 United — Commercial\|HMO: $28,140 United — Commercial\|Options: $28,691 United — Medicare\|All Plans: $2,342.19

Source: Mercy Medical Center Redding’s standard charges file (commonspirit.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 30, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	2175 Rosaline Ave, Clairmont HGTS, Redding, CA 96001
County	Shasta County
State	California
Phone	(530) 225‑6102
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	050280
Name in Medicare records	MERCY MEDICAL CENTER REDDING
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(530) 225‑6000^[4]
Name on the hospital’s website	Dignity Health - Mercy Medical Center Redding
Official website	commonspirit.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Dignity Health - Mercy Medical Center Redding, CA | CommonSpirit Health — commonspirit.org
Dignity Health – Mercy Medical Center Redding, CA | CommonSpirit Health — commonspirit.org

Mercy Medical Center Redding

Summary

Profile from official sources

At a glance